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患者,女,30岁,已婚,农民,初中学历,孕1产1,因“发现下腹包块14天”入院,患者平素月经规律,周期30天,经量中等,无痛经史,2年前行剖宫产术。平素自感腰痛未在意,无意中扪及下腹包块,无腹痛,仅感腰部酸困不适及出现尿频、尿急,无排尿困难,自认为泌尿系感染,对症治疗未见好转,为进一步检查,行B超检查发现盆腔实性包块。查体:生命体征正常,心肺听诊无异常,腹部稍膨隆,下腹可触及一质硬包块,无压痛。妇科检查:阴道畅,阴道后穹窿饱满,质硬,宫颈因受包块挤压位置偏移,位于前穹窿部,光滑,子宫
Patients, female, 30 years old, married, peasant, junior high school education, pregnancy 1 production 1, because “found abdominal mass 14 days ” admission, the patient usually menstrual regularity, cycle 30 days, Cesarean section 2 years ago. Usually feel the low back pain did not care, inadvertently palpable lower abdominal mass, no abdominal pain, only sense of acid and sleepy waist and urinary frequency, urgency, no dysuria, since the urinary tract infection, symptomatic treatment did not improve for further examination B-line ultrasound examination pelvic solid mass. Physical examination: vital signs normal, no abnormal cardiopulmonary auscultation, slightly bulging abdomen, lower abdomen can reach a hard mass, no tenderness. Gynecological examination: vaginal Chang, vaginal fornix full, hard, the cervical mass due to mass extrusion position offset, located in the former fornix, smooth, uterus